| Glenn E Hurst, MD, P.C. | |
|
401 Broadway Street Minden IA 51553-0306 | |
| (712) 407-2086 | |
| (712) 407-2087 |
| Full Name | Glenn E Hurst, MD, P.C. |
|---|---|
| Speciality | Family Medicine |
| Location | 401 Broadway Street, Minden, Iowa |
| Authorized Official Name and Position | Glenn E Hurst (OWNER) |
| Authorized Official Contact | 4022908507 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Glenn E Hurst, MD, P.C. 401 Broadway Street Minden IA 51553-0306 Ph: (712) 407-2086 | Glenn E Hurst, MD, P.C. 401 Broadway Street Minden IA 51553-0306 Ph: (712) 407-2086 |
| NPI Number | 1831469535 |
|---|---|
| Provider Enumeration Date | 01/11/2012 |
| Last Update Date | 04/03/2012 |
| Medicare PECOS PAC ID | 9436310208 |
|---|---|
| Medicare Enrollment ID | O20120423000473 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831469535 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 38242 (Iowa) | Primary |
| Provider Name | Alan J Pokorski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447356936 PECOS PAC ID: 2163415779 Enrollment ID: I20061113000524 |
| Provider Name | Glenn Edward Hurst |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316108764 PECOS PAC ID: 6608913934 Enrollment ID: I20091020000021 |